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PARK ENDOSCOPY CENTER LLC NPI 1417193939


NPI Information

NPI: 1417193939
Provider Name: PARK ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2602 NORTH HERRITAGE STREET
KINSTON, NC
ZIP 28501
Phone: (252) 527-6565
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PARK ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Kinston, NC. PARK ENDOSCOPY CENTER, LLC NPI is 1417193939. The provider is registered as an organization entity type.

The provider's business location address is:

2602 NORTH HERRITAGE STREET
KINSTON, NC
ZIP 28501-503
Phone: (252) 527-6565
Fax: (252) 233-0573

The provider's authorized official is Joseph A. Saracino .
The authorized official title is Medical Director and has the following contact phone number (252) 527-6565.

The enumeration date for this NPI number is 1/6/2009 and was last updated on 7/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalAS0121NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12373126AMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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